CMS T-MSIS data, 2018-2024
Concourse Sentinel connects to large-scale healthcare billing datasets β including CMS T-MSIS claims, provider enrollment (PECOS), and federal exclusion lists β and runs millions of automated statistical analyses to surface billing anomalies and areas warranting further review.
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| T1015 | Clinic service | $3.5B | 23.8M |
| 99285 | Emergency dept visit hi mdm | $1.5B | 4.6M |
| T1502 | Medication admin visit | $1.3B | 24.3M |
| 99284 | Emergency dept visit mod mdm | $1.2B | 6.5M |
| 99214 | Office o/p est mod 30 min | $1.1B | 19.3M |
| 90837 | Psytx w pt 60 minutes | $883.7M | 10.4M |
| 99213 | Office o/p est low 20 min | $834.5M | 25.5M |
| 99283 | Emergency dept visit low mdm | $775.6M | 5.6M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service | $763.4M | 59.2M |
| G0463 | Hospital outpt clinic visit | $556.8M | 6.3M |